Presentation
Abdominal pain and hypoxia.
Patient Data
Age: 80 years
Gender: Female
From the case:
Perforated diverticulitis
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From the case:
Perforated diverticulitis
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CT abdomen pelvis demonstrates a large pneumoperitoneum with transverse colon perforation, fluid surrounding the liver and spleen, and the presence of diverticular disease.
Case Discussion
An 80 year old patient presented with epigastric pain and dyspnoea. CXR showed pneumoperitoneum. CT-AP demonstrated anterior inferior transverse colon perforation and diverticulitis. She had faeculent peritonitis intraoperatively.
Acute diverticulitis is inflammation and micro-perforation of a diverticulum (sac-like outpouching of colonic mucosa) 1. Perforation occurs in 10-25% of patients and may require surgical management2.
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